| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,953 |
20,801 |
$2.78M |
| H2020 |
Therapeutic behavioral services, per diem |
357 |
159 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,867 |
20,388 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
150 |
$7K |
| 99201 |
|
107 |
76 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
51 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$988.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,435 |
731 |
$55.00 |
| 36415 |
Collection of venous blood by venipuncture |
353 |
241 |
$44.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,682 |
1,385 |
$2.58 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
16 |
$0.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
321 |
249 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
434 |
345 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
180 |
92 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
39 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
46 |
$0.00 |
| 80306 |
|
82 |
59 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
71 |
$0.00 |
| 1159F |
|
14 |
12 |
$0.00 |
| 81002 |
|
17 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 1160F |
|
15 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
50 |
$0.00 |
| 3008F |
|
30 |
26 |
$0.00 |
| 00000 |
|
90 |
29 |
$0.00 |
| 82607 |
|
79 |
44 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,020 |
1,620 |
$0.00 |
| 90651 |
|
32 |
24 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
72 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
37 |
$0.00 |